Impact of preprocedural imaging on outcomes of catheter ablation in patients with atrial fibrillation.

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Miki YokokawaHakan Oral

Abstract

This study aims to determine the impact of preprocedural imaging using computerized tomography (CT) or magnetic resonance imaging (MRI) with 3-D reconstruction on procedural efficiency, efficacy, complications and clinical outcome in patients who undergo radiofrequency catheter ablation (RFA) to eliminate atrial fibrillation (AF). In this registry, a CT (n = 161) or MRI (n = 37) was obtained prior to RFA in 198 of 333 consecutive patients (age 61 ± 10 years) with paroxysmal (172) or persistent (161) AF. Antral pulmonary vein isolation was performed in all patients using an open-irrigation-tip catheter with a 3-D electroanatomical navigation system. Procedural and clinical outcomes were compared among patients who underwent RFA with and without preprocedural imaging. The mean duration of the procedure (246 ± 47 vs. 242 ± 40 min, P = 0.55), fluoroscopy (47 ± 13 vs. 50 ± 10 min, P = 0.16), and total RF application (83 ± 27 vs. 78 ± 23 min, P = 0.17) were similar among patients who did and did not have preprocedural imaging. The likelihood of a complication also was similar (5/198 [3%] vs. 4/135 [3%], P = 1.0). A repeat ablation was performed in 95/198 (48%) and 61/135 (45%) of the patients who did and did not have imaging study, r...Continue Reading

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Citations

Jul 26, 2012·Current Cardiology Reports·Wai-ee ThaiQuynh A Truong
Feb 13, 2013·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Wael A AljaroudiWael A Jaber
May 5, 2012·Heart, Lung & Circulation·Nick JacksonJohn Attia
May 15, 2020·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Andrea Di CoriMaria Grazia Bongiorni
Jul 15, 2018·BMC Cardiovascular Disorders·M SkowerskiK Mizia-Stec

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